AMA House of Delegates Update: June 13, 2017

By Policy and Advocacy Brief posted 06-13-2017 20:57

This article is part of a five-part series of updates from the June 2017 AMA House of Delegates meeting. Additional updates are available from the June 10, June 11, June 12 and June 14 sessions.

AUA Delegates Dr. Aaron Spitz and Dr. Willie Underwood; Alternate Delegates Drs. Terry Grimm and William F. Gee; and Resident and Fellow Delegate Dr. Hans Arora continued to work with hundreds of other physicians at this week’s American Medical Association’s House of Delegates by considering resolutions and reports covering clinical practice, payment, medical education, and public health topics. Regular updates will be posted to the
Policy & Advocacy Brief blog over the course of the meeting.On June 13, the AUA delegates spent the day in the second of three general sessions where AUA’s and dozens of delegations debated and voted on resolutions. 


AUA Delegate Dr. Willie Underwood speaks on CME 6 to defend the Urology Match and maintain strong AUA-specialty relationships.

  • Resolution 107 “Repeal and Replace Our Outdated Refundable, Replaceable Tax Credit Policy” was debated and the House added language calling for a study of the public option as an alternative to commercial insurance coverage in the U.S.
  • The House considered multiple resolutions around network adequacy/balanced billing. Key takeaways from the measures approved were the series of AMA principles regarding unexpected out-of-network care, the adoption of the Gould Criteria (physician triggered mediation should be permitted in those instances where physicians’ unique background or skills are not accounted for within a minimum coverage standard), and the policy directing the AMA to develop model state legislation addressing the coverage of and payment for unanticipated out-of-network care.
  • The House also voted to approve Council on Medical Education Board Report 2 “Update on Maintenance of Certification (MOC) and Osteopathic Continuous Certification” and recommendations for the AMA to advocate that physicians who participate in programs related to quality improvement and/or patient safety receive credit for MOC Part IV. Resolution 316 “Action Steps Regarding MOC” also was approved. The policy directs the AMA to recognize that life-long learning for a physician is best achieved by ongoing participation in a program of high quality Continuing Medical Education appropriate to that physician’s medical practice as determined by the relevant specialty society.
  • Council on Medical Education Report 6 “Standardizing the Allopathic Residency Match System and Timeline,” which encouraged the AUA to move its match program into the National Resident Matching Program, was ultimately referred for further deliberation. AUA delegates Drs. Aaron Spitz and Willie Underwood gave impassioned testimony on the many benefits of the current Urology Match program and also on the importance of not dividing the House of Medicine on this issue. The House reports back on “referred” resolutions at a future meeting.
  • Resolution 706 “Concurrent and Overlapping Surgery” was passed directing the AMA to work with specialty societies on issues related to concurrent/overlapping surgeries. For more than a year, the AUA has been monitoring updated principles put forward by the American College of Surgeons focused largely on the concurrent surgery issue. The AUA notified all urology training program heads, chairs, and program directors about the statement of principles. You can read more about the report here

On June 14, the House of Delegates will host one more general session and then conclude its business.